Guangdong, Foshan reports two new cases of human infection with the H7N9 avian influenza virus (DoH, January 10 2014)

[Giuseppe]

[Source: Guangdong Health Department, full page in Chinese: (LINK). Automatic translation.]


Guangdong, Foshan reports two cases of human infection with the H7N9 avian influenza virus

2014-01-10 16:00:59 / Ministry of Health and Family Planning Commission


January 10 afternoon, the Provincial Health and Family Planning Commission informed Foshan confirmed two cases of human infection with the H7N9 avian influenza. Two cases are mild, sporadic cases, no epidemiological link.

Case 1 Liu, female, 42 years old, lives in the town of Yanbu, Nanhai District, Foshan City. Engage in wholesale sales of live poultry. January 5, 2014 the disease, January 8 to local hospitals infected with H7N9 fever clinic, give "Tamiflu" treatment, January 9 admitted to the hospital. Currently the patient has fever, mild symptoms. Local health departments for 20 close contacts under medical observation and found no abnormalities.

Case 2 Liu, female, 59 years old, currently residing in Nanhai District of Foshan street, no live poultry exposure history. December 29, 2013 the disease, avian influenza H7N9 infection in sentinel local hospital Jan. 2, 2014, to "Tamiflu" treatment. Currently, patients with mild symptoms. Local health department for five close contacts under medical observation and found no abnormalities.

Since August 2013 the first reported case in Huizhou since, as of January 10, 2014, the province reported a total of 12 cases of patients were cured in 2 cases, 1 death (residence Dongguan). By patient place of residence, Shenzhen two cases, four cases in Foshan, Huizhou one case, two cases in Dongguan, Yangjiang 3 cases.


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[Giuseppe]

Re: Guangdong, Foshan reports two new cases of human infection with the H7N9 avian influenza virus (DoH, January 10 2014)

[Source: Centre for Health Protection, Hong Kong PRC SAR, full page: (LINK).]


Four additional human cases of avian influenza A(H7N9) in Guangdong and Zhejiang


The Centre for Health Protection (CHP) of the Department of Health (DH) is today (January 10) closely monitoring two additional cases of avian influenza A(H7N9) in Guangdong and two other cases in Zhejiang upon notification by the Health and Family Planning Commission of Guangdong Province and verification with the National Health and Family Planning Commission respectively.

The first case in Guangdong involves a 42-year-old female poultry worker living in Foshan. She had onset of symptoms on January 5. She sought medical attention from a local hospital on January 8 and was admitted for treatment on the following day. Her specimen tested positive for avian influenza A(H7N9) virus by the relevant health authority of Guangdong Province today. Twenty close contacts of the patient have been put under medical surveillance by the relevant health authority of Guangdong Province. No abnormalities have been found among her close contacts so far.

The second case in Guangdong involves a 59-year-old woman also living in Foshan. She had developed symptoms on December 29, 2013. She was admitted to a local hospital on January 2, 2014. Her specimen tested positive for avian influenza A(H7N9) virus by the relevant health authority of Guangdong Province today. She had no recent history of contact with poultry. Five close contacts of the patient have been put under medical surveillance by the relevant health authority of Guangdong Province. No abnormalities have been found among her close contacts so far.

The two cases in Zhejiang involve a male patient aged 30 and a female patient aged 79 whose specimens both tested positive for avian influenza A(H7N9) virus by the relevant health authority of Zhejiang Province yesterday (January 9). They are receiving treatment in hospital and are in critical condition.

To date, a total of 156 human cases of avian influenza A(H7N9) have been confirmed on the Mainland. They are in:

1. Zhejiang (55 cases),
2. Shanghai (34 cases),
3. Jiangsu (29 cases),
4. Guangdong (12 cases),
5. Jiangxi (six cases),
6. Fujian (five cases),
7. Anhui (four cases),
8. Henan (four cases),
9. Beijing (two cases),
10. Hunan (two cases),
11. Shandong (two cases) and
12. Hebei (one case).

The CHP will follow up with the Mainland health authorities for more case details.

"Locally, enhanced disease surveillance, port health measures and health education against avian influenza are ongoing. We will remain vigilant and maintain liaison with the World Health Organization (WHO) and relevant health authorities. Local surveillance activities will be modified upon the WHO's recommendations," a spokesman for the DH said.

"All border control points have implemented disease prevention and control measures. Thermal imaging systems are in place for body temperature checks of inbound travellers. Random temperature checks by handheld devices will also be arranged. Suspected cases will be immediately referred to public hospitals for follow-up investigation," the spokesman added.

Regarding health education for travellers, distribution of pamphlets, display of posters in departure and arrival halls, in-flight public announcements, environmental health inspections and provision of regular updates to the travel industry via meetings and correspondence are all proceeding.

"Travellers, especially those returning from avian influenza-affected areas and provinces with fever or respiratory symptoms, should immediately wear masks, seek medical attention and reveal their travel history to doctors. Healthcare professionals should pay special attention to patients who might have had contact with poultry, birds or their droppings in affected areas and provinces," the spokesman advised.

Members of the public should remain vigilant and take heed of the preventive advice against avian influenza below:

• Do not visit live poultry markets. Avoid contact with poultry, birds and their droppings. If contact has been made, thoroughly wash hands with soap;
• Poultry and eggs should be thoroughly cooked before eating;
• Wash hands frequently with soap, especially before touching the mouth, nose or eyes, handling food or eating; after going to the toilet or touching public installations or equipment (including escalator handrails, elevator control panels and door knobs); or when hands are dirtied by respiratory secretions after coughing or sneezing;
• Cover the nose and mouth while sneezing or coughing, hold the spit with a tissue and put it into a covered dustbin;
• Avoid crowded places and contact with fever patients; and
• Wear masks when respiratory symptoms develop or when taking care of fever patients.

The public may visit the CHP's avian influenza page (www.chp.gov.hk/en/view_content/24244.html ) and website (www.chp.gov.hk/files/pdf/global_statistics_avian_influenza_e.pdf ) for more information on avian influenza-affected areas and provinces.


Ends/Friday, January 10, 2014
Issued at HKT 19:00
NNNN


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[sharon sanders]

Re: Guangdong, Foshan reports two new cases of human infection with the H7N9 avian influenza virus (DoH, January 10 2014)

hat tip Shiloh

machine translation


This week in Guangzhou, Guangdong confirmed six cases of H7N9 virus-2 market now

More Source: Yangcheng Evening　　Post time :2014 -01-11 05:20

This week confirmed six cases of H7N9 in Guangdong accounted for half of infections since last year

Yangcheng Evening News reporter Xia Yang, Guangdong Wilson correspondent reports: Guangdong H7N9 bird flu this week, continuous dissemination, within five days of the time the 6th to the 10th of the province has confirmed six cases.

10 afternoon, the Guangdong Provincial Health and Family Planning Commission Bulletin, Foshan has confirmed two cases of human infection with the H7N9 avian influenza. Two cases are mild and are sporadic cases, patients with no epidemiological link between the two.

Case 1: Ryu, female, 42 years old, lives in the town of Yanbu, Nanhai District, Foshan City. Engage in wholesale sales of live poultry. January 5, 2014 the disease, January 8 to local hospitals infected with H7N9 fever clinic, give "Tamiflu" treatment, January 9 admitted to the hospital. Currently the patient has fever, mild symptoms. Local health departments for 20 close contacts under medical observation and found no abnormalities.

Case 2: Ryu, female, 59 years old, currently residing in Nanhai District of Foshan street, no live poultry exposure history. December 29, 2013 the disease, avian influenza H7N9 infection in sentinel local hospital Jan. 2, 2014, to "Tamiflu" treatment. Currently, patients with mild symptoms. Local health department for five close contacts under medical observation and found no abnormalities.

It is worth mentioning that recently appeared in Guangdong sporadic cases of bird flu in a row this week, from Monday to Friday (6 - 10) across the province reported a total of six confirmed cases, accounting for half of the confirmed cases since last year. This week, six confirmed cases are: the 6th two cases, the patients were Yangjiang and Foshan, Guangzhou, Foshan cases diagnosed; the 7th one case diagnosed in Shenzhen; the 8th one case diagnosed in Foshan; the 10th two cases, were diagnosed in Foshan (see table at right).

Review of 12 cases of H7N9 cases in Guangdong


Latest News

Guangzhou two markets are now suspected virus

Yangcheng Evening News in Guangzhou Municipal Health Bureau on the 10th afternoon briefing to the media, said: As at 16:00 on January 10, the Guangzhou No human infection with H7N9 bird flu found in local cases. However, Yuexiu District, a new downtown Tianjin, Tianhe District Changban integrated market of live poultry samples collected in the agricultural sector, and the detection of suspected H7N9 avian influenza virus. According to relevant regulations, Yuexiu, Tianhe District, the two have been on the market for poultry culling and safe disposal, the market closed three days, a thorough cleaning and disinfection of poultry practitioners to implement a seven-day medical observation, is not currently abnormal.

Guangzhou City, the 10th sent 5 Steering Group on 12 district (county-level cities) health units and farmers markets carry people infected with bird flu prevention and control work N7N9 conduct supervision. (Chen Yingping Huang Sui)

zhttp://news.ycwb.com/2014-01/11/content_5859101.htm

[Biological]

Re: Guangdong, Foshan reports two new cases of human infection with the H7N9 avian influenza virus (DoH, January 10 2014)

1. Ying Fu Ge restaurant in Haizhu district, Guangzhou, Guangdong 3 of 17 copies positive (1)
Two Poultry
One Chopping board*
Restaurant was visited by a patient who was confirmed to have contracted H7N9 on Jan. 6. The patient often transported live chickens to the restaurant from the city of Foshan (1,3)

2. Longbei Market in Jinping district, Shantou City, Shantou, Guangdong 8 of 34 copies positive (2)

*This is the second chopping board recently reported contaminated with H7N9

(1) H7N9 contamination found in Guangzhou restaurant, Shantou market｜Society｜News｜WantChinaTimes.com

http://www.wantchinatimes.com/news-subclass-cnt.aspx?id=20140110000128&cid=1103&MainCatID=0

(2) Shantou positive for H7N9 virus detected in eight starts immediate emergency response _ News _ South Network _ Nanfang Daily Official Website

http://bo.nfdaily.cn/timeline/content/2014-01/11/content_89803743.htm

(3)Six more H7N9 cases, one fatal, detected in China | CIDRAP (Restaurant samples contaminated)

http://www.cidrap.umn.edu/news-perspective/2014/01/six-more-h7n9-cases-one-fatal-detected-china

[Biological]

Re: Guangdong, Foshan reports two new cases of human infection with the H7N9 avian influenza virus (DoH, January 10 2014)

"Restaurant was visited by a patient who was confirmed to have contracted H7N9 on Jan. 6. The patient often transported live chickens to the restaurant from the city of Foshan"

Most likely!
Guangdong (7th) cases - 47(M) Xiemou, Lishui Town, Nanhai District, Foshan City
Poultry vender- engaged in the sale and transport of poultry

#152 - Man, 47, onset date December 25, hospitalized January 3, poultry dealer - Foshan Guangdong province

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http://www.gdemo.gov.cn/yjdt/gdyjdt/201401/t20140106_191673.htm

http://www.gdwst.gov.cn/a/zwxw/2014010611213.html

http://www.chp.gov.hk/en/content/116/32906.html

http://www.who.int/csr/don/2014_01_09_h7n9/en/index.html

[Biological]

Re: Guangdong, Foshan reports two new cases of human infection with the H7N9 avian influenza virus (DoH, January 10 2014)

Haizhu District of Guangzhou H7N9 virus detected in a restaurant kitchen
Source: Jinyang - Express Date: 2014-01-10 Read: 11 [ print ]

According to Guangdong Wei Planning Commission report, January 7, Guangzhou CDC in Haizhu District of Guangzhou Ying Fuk Court 17 unearned environmental samples collected in the restaurant kitchen, detected three samples positive for H7N9 avian influenza virus nucleic acid; Province CDC detected in eight samples positive for H7N9 avian influenza virus nucleic acid in 34 samples Jinping District, Taipei City Off Long collected in environmental monitoring. The local government immediately launched the emergency response, to take effective measures to make the relevant prevention and control, disposal.

　　Restaurant chopping and sewage detected viruses

　　Earlier, Provincial Planning Commission Guardian reported that on January 6, Guangzhou found one case of human infection with the H7N9 avian influenza. Guangzhou reported cases Xiemou (male, 47 years old, Maoming nationality) living in Nanhai District of Foshan City, engaged in the sale and transport of poultry, 25 December 2013 onset, January 3, 2014 from Foshan Nanhai Huangqi Hospital transferred to the First Affiliated Hospital of Guangzhou Medical College, in critical condition.
　　"Xiemou had sent to the Haizhu Ying Fuk Court of live poultry restaurant, so we had the restaurant to detect extracellular environment." Yesterday, CDC main 任王鸣 interview with reporters, said that in this case the scope of activities When workplace testing, disease control departments of three H7N9 virus-positive samples were found in wastewater samples and chopping in the kitchen of the restaurant. CDC said it had carried out cleaning and disinfection of the restaurant, the restaurant staff no suspicious symptoms.
　　Fight for the restaurant kitchen into the monitoring range
　　Yesterday, deputy director of the CDC Yang Zhicong an interview with reporters, said, compared with H5N1, H7N9 bird flu virus more concealed, dissemination stronger, more risk of a pandemic. He said: "Unlike the highly pathogenic avian H5N1, H7N9 low pathogenic avian influenza in poultry nature, difficult to detect infected poultry, culling of sick birds can not be processed in time, humans have more contact with sick birds opportunities. "
　　"Go live bird market but no contact with poultry, compared to not go over three times the risk of live bird markets, poultry in live bird markets in contact over the live bird markets did not go over 10 times the risk." Yang Zhicong said the meat market is the H7N9 flu virus The main sites of infection, the national CDC study shows that exposure is a risk factor for live bird markets. He therefore suggested that the staff in close contact with poultry, including those engaged in farming, sorting, transporting personnel, sales, slaughter, immunization and sick, dead poultry processing, as well as the relevant places terminally sterilized professionals need special protection. Special protection requirements are wearing ordinary clothes, cover a layer of protective clothing (gowns), wearing protective masks, medical disposable latex gloves, boots or wear protective gloves for disinfection. Wash your hands, to reduce the incidence of infection.
　　Yang Zhicong also said the country last April there were several cases of human infection with H7N9 avian influenza, the Guangzhou disease control departments have been the H7N9 virus in the external environment monitoring, but monitoring sites, mainly in meat markets, wholesale poultry, bird habitat and so on, the number is more than 200 weekly detection. "In the future will try to put into the restaurant kitchen to the scope of monitoring." He said.
　　● CDC reminder
　　Tool handling raw poultry chopping board
　　Can not be used for processing cooked
　　1 Do not buy live poultry slaughtered on their own, do not touch, do not eat sick (dead) poultry, meat, do not buy without quarantine certificates fresh, live, frozen poultry and their products.
　　2 raw poultry, meat and eggs must be cooked cooking.
　　(3) pay attention to food hygiene in food processing, food process, there must be separate raw and cooked, to avoid cross-contamination, handling raw poultry, meat chopping board, knives and containers can not be used cooked; handling raw poultry meat processing and the eggs thoroughly wash your hands.
Source: Jinyang - Express

http://www.jxcdc.gov.cn/jbkzdetail.php?news_id=6129

[Giuseppe]

Guangdong, Foshan reports two new cases of human infection with the H7N9 avian influenza virus (DoH, January 10 2014)

[Source: World Health Organization, full page: (LINK).]


Human infection with avian influenza A(H7N9) virus ? update

Disease outbreak news / 13 JANUARY 2014


On 10 January 2014, the National Health and Family Planning Commission of China notified WHO of 6 additional laboratory-confirmed cases of human infection with avian influenza A(H7N9) virus, including 1 death.

Details are as follows:

• 54-year-old man from Nanjing City in Jiangsu Province who became ill on 28 December 2013 and was admitted to the hospital on 5 January. He is currently in serious condition.
• 79-year-old woman farmer from Jiaxing City of Zhejiang Province who became ill on 2 January and was admitted to the hospital on 5 January. She is currently in critical condition. The patient had exposure to poultry.
• 30-year-old male from Ningbo City of Zhejiang Province who became ill on 2 January and was admitted to the hospital on 7 January. He is currently in critical condition. The patient had exposure to poultry.
• 59-year-old woman from Foshan City of Guangdong Province who became ill on 29 December 2013 and was admitted to the hospital on 2 January. She is currently in mild condition.
• 42-year-old woman from Foshan City of Guangdong Province who became ill on 5 January and was admitted to the hospital on 9 January. She is currently in mild condition. The patient works in the poultry wholesale industry
• 38-year-old man from Quanzhou City of Fujian Province who became ill on 3 January and was admitted to the hospital on 8 January. The patient had an underlying illnesses (including tuberculosis and pneumoconiosis) and died on 10 January.

The source of infection is still under investigation. So far, there is no evidence of sustained human-to-human transmission.

The Chinese government continues to take the following measures:

• strengthen surveillance and situation analysis;
• reinforce case management and treatment;
• conduct risk communication with the public and release information;
• strengthen international collaboration and communication; and
• conduct scientific studies.

WHO does not advise special screening at points of entry with regard to this event, nor does it currently recommend any travel or trade restrictions.


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